Provider Demographics
NPI:1114424637
Name:LOUGHMAN, HONG NHUNG THI (MA, BCBA,LBA)
Entity Type:Individual
Prefix:
First Name:HONG NHUNG
Middle Name:THI
Last Name:LOUGHMAN
Suffix:
Gender:F
Credentials:MA, BCBA,LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 THREE BRIDGES RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4422
Mailing Address - Country:US
Mailing Address - Phone:512-560-2096
Mailing Address - Fax:
Practice Address - Street 1:3008 THREE BRIDGES RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4422
Practice Address - Country:US
Practice Address - Phone:512-560-2096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133001081103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst